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Mandatory Payment Reform and the Geography of Dialysis Supply: Experimental Evidence from Medicare's End-Stage Renal Disease Treatment Choices Model

Key takeaways

Medicare assigned new payment rules for kidney failure care to some regions by lottery, under a program called the ESRD Treatment Choices model. This paper asks whether those payment rules changed where dialysis clinics operate. That matters because payment rules decide how far people have to travel to get dialysis. The lottery makes the comparison stronger than most policy studies, but the paper has not been peer reviewed and it still shows a link, not proof of cause.

Who did this work

Zhenyuan Pan

Source

Paper · OpenAlex, Kidney disease concept sweep (verified C2778653478) · 2026-09-06
https://doi.org/10.13140/rg.2.2.32430.88648